Evidence map›Paper›PMID 35999688›Full record

ArticleThe Australian and New Zealand journal of psychiatry2023

Is the narrative the message? The relationship between suicide-related narratives in media reports and subsequent suicides.

Lance L Hawley, Thomas Niederkrotenthaler, Rabia Zaheer, Ayal Schaffer, Donald A Redelmeier, Anthony J Levitt, Jitender Sareen, Jane Pirkis, Mark Sinyor

Open access · hybridAbstract read
In one paragraph

Article in The Australian and New Zealand journal of psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. 'Fair and balanced?': quality of suicide-related reporting on major US cable news networks.The British journal of psychiatry : the journal of mental science · 2025
    Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Lance L HawleyFrederick W. Thompson Anxiety Disorders Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0000-0002-5635-9536
Thomas NiederkrotenthalerUnit Suicide Research and Mental Health Promotion, Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-9550-628X
Rabia ZaheerDepartment of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Ayal SchafferDepartment of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Donald A RedelmeierDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Anthony J LevittDepartment of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Jitender SareenDepartments of Psychiatry, Psychology and Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Jane PirkisCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-2538-4472
Mark SinyorDepartment of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-7756-2584
Sunnybrook Health Science Centre · CAMedical University of Vienna · ATThe University of Melbourne · AUUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWhen journalists report on the details of a suicide, the way that they contextualize the meaning of the event (i.e. the 'narrative') can have significant consequences for readers. The 'Werther' and 'Papageno' narrative effects refer to increases and decreases in suicides across populations following media reports on suicidal acts or mastery of crises, respectively. The goal of this study was to investigate the impact of these different narrative constructs on subsequent suicides.

methodsThis study examined the change in suicide counts over time in Toronto, Canada. It used latent difference score analysis, examining suicide-related print media reports in the Toronto media market (2011-2014). Articles (

resultsLatent difference score longitudinal multigroup analyses identified a dose-response relationship in which the trajectory of suicides following harmful 'Werther' narrative reports increased over time, while protective 'Papageno' narrative reports declined. The latent difference score model demonstrated significant goodness of fit and parameter estimates, with each group demonstrating different trajectories of change in reported suicides over time: (χ

conclusionOur findings support the notion that the 'narrative' matters when reporting on suicide. Specifically, 'Werther' narratives of suicides in celebrities and suicides in non-celebrities where the methods were described were associated with more subsequent suicides while 'Papageno' narratives of survival and crisis mastery without depictions of suicidal behaviours were associated with fewer subsequent suicides. These results may inform efforts to prevent imitation suicides.

Indexed as

Famous PersonsSuicide, AttemptedCanadaHumansMass MediaSuicidal Ideationmediamedia narrativePapageno effectSuicideWerther effect

Identifiers

PMID35999688
PMCPMC10126449
OpenAlexW4293163819

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.